NPI | 1487295317 |
---|---|
Entity Type | Organization |
Authorized Contact | AYALA WINER Clinical Director/Owner 954-292-8772 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
Enumeration Date | 2019-10-02 |
Last Update Date | 2020-06-25 |